慢性疼痛：康复治疗中有有效的治疗性运动吗？叙述性综述。
Chronic pain: are there effective therapeutic exercises in rehabilitation treatment? A narrative review.
机构信息
Physical Medicine and Rehabilitation Division, Umberto I University Hospital, Rome, Italy.
Health Professions of Rehabilitation Sciences Degree, Sapienza University of Rome.
出版信息
Clin Ter. 2024 Sep-Oct;175(5):337-345. doi: 10.7417/CT.2024.5139.
BACKGROUND
Chronic pain has been investigated in pathophysiology and different mechanisms underlying this condition has been described. Despite the plentiful literature regarding this topic and the different pharmacological treatments proposed, patients often referred inadequate relief from medication. The aim of this narrative review was to investigate the different rehabilitative approach in the management of chronic pain and their efficacy.
METHODS
A systematic narrative review has been conducted considering randomize controlled trials and systematic reviews published within the past 5 years.
RESULTS
13 papers on chronic pain and 6 papers on nociplastic pain has been described in the main aspects analyzed.
CONCLUSIONS
No one treatment appears to be more effective than another but often it is the combination of several treatments that gives the best results. More studies, evaluating in particular specific exercises with clear proprioceptive elements, should be conducted to best analyzed their role in the management of chronic pain.
背景
慢性疼痛的病理生理学已经得到了研究，并且已经描述了这种疾病的不同机制。尽管关于这个主题有大量的文献和提出的不同的药物治疗方法，但患者经常对药物治疗的缓解效果不满意。本叙述性综述的目的是研究慢性疼痛管理中的不同康复方法及其疗效。
方法
对过去 5 年内发表的随机对照试验和系统综述进行了系统的叙述性综述。
结果
在主要分析的方面，描述了 13 篇关于慢性疼痛的论文和 6 篇关于伤害感受性疼痛的论文。
结论
似乎没有一种治疗方法比另一种更有效，但通常是几种治疗方法的结合才能取得最好的效果。应该进行更多的研究，特别是评估具有明确本体感受成分的特定运动，以更好地分析它们在慢性疼痛管理中的作用。
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